The Medical Resort is hiring an experienced Registered Nurse (RN) or Licensed Practical Nurse (LPN) with MDS experience as the Regional Consultant to cover locations in the Houston Metroplex. We are looking for a full-time Case Mix Consultant to take a leadership role in our Skilled Nursing Facilities. Are you a passionate professional nurse, RN or LPN, with high ethical standards? Do you have expertise in RAI/MDS coding and Medicare PDPM and Medicaid Case Mix rules and regulations? Do you have a positive, helpful, and enthusiastic attitude and want to join a like-minded skilled nursing team of professional that will appreciate what you have to offer as an MDS nurse coordinator? Are you looking for a well-respected and supportive company that can offer you opportunities for professional nursing growth? If so, please read on.

A DAY IN THE LIFE AS A REGIONAL CASE MIX CONSULTANT

As a Regional Case Mix MDS Consultant you will travel daily to the facilities . You arrive each day happy to assist the facilities in verifying correct and compliant utilization of Medicare and Medicaid. You will travel to locations within the region offering MDS Nurse support by educating facility staff on Medicare and Medicaid rules and regulations, and conducting routine audits to see that Federal and State rules and regulations as well as established policies and procedures are followed. You are willing to stay at one of the locations as long as it takes to get the job done. You will bring specialized knowledge of the MDS process and of developmental factors specific to adult and geriatric residents to help effectively plan and deliver the best individualized care for each of the patients whether challenged with orthopedic issues, neurological diseases, or complex medical conditions.

You will work with facility based MDS Coordinators as they complete patient assessments and complete MDS assessments. You will also bring your knowledge of MDS coding as defined in the RAI manual. You will bring your good communication skills to educate other MDS Coordinators on selecting the correct codes and completing MDS assessments for payment. Your attention to detail is essential to your success, as you keep up-to-date and accurate records, develop action plans and manage your own schedule. And, your collaborative skills come into play as you play an active role as a part of the regional clinical operations team. After a day of hard work, you feel great about the impact you have made in the region in their understanding of the MDS process and maintaining compliance.

QUALIFICATIONS FOR AN MDS NURSE

• Maintains a current, valid license as an LPN or RN, BSN preferred, and is in good standing. Possesses strong knowledge of state, federal, and local regulations as they pertain to long-term care.
• Previous MDS 3.0 experience required.
• Consulting experience preferred.
• Additional education or experience in rehabilitative and geriatric nursing is preferred.
• Demonstrates knowledge of age specific developmental factors specific to adult and geriatric residents (i.e., physical, cognitive, and socialization factors) as it applies to clinical reimbursement.
• Demonstrates knowledge of Medicare PDPM and Medicaid RUG grouper categories and documentation guidelines.
• Ability to travel 75-100% of the time as necessary.
• The ideal candidate will be located in the Houston, Texas area.